Form Et 22 - Certificate Of Estate Tax Payment And Real Property Disclosure - Ohio Department Of Txation Page 3

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ET 22
Rev. 5/12
Page 3
Certifi cate of Estate Tax Payment and Real Property Disclosure
for Dates of Death Nov. 8, 1990 – Dec. 31, 2012
(R.C. Section 5731.21)
Part II
A. This section is to be completed by the estate representative.
Estate of
Case number
Date of death
County
B. This section is to be completed by the county auditor.
I hereby verify that the estate taxes shown due on the estate tax return fi led on
have been paid in full.
Date Tax Paid to
County Auditor
County auditor
By:
Deputy
C. This section is to be completed by the probate judge.
The verifi cation of this certifi cate by the county auditor was fi led in this court on the date stamped
hereon.
Date Filed in
Probate Court
Probate judge
By:
Deputy

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